Provider Demographics
NPI:1831451251
Name:SWIFT, STEVIE-MARIE (MA, BCBA)
Entity type:Individual
Prefix:MS
First Name:STEVIE-MARIE
Middle Name:
Last Name:SWIFT
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9334 CERULEAN DR APT 106
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4777
Mailing Address - Country:US
Mailing Address - Phone:813-449-2142
Mailing Address - Fax:
Practice Address - Street 1:9334 CERULEAN DR APT 106
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4777
Practice Address - Country:US
Practice Address - Phone:813-449-2142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4046103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019421500Medicaid